Getting to the root of the problem with dental implants

This course aims to identify the differences in diagnostic criteria when examining natural dentition versus dental implants, outline a comprehensive flow of diagnostics for dental implants, explain potential etiologies, and explore emerging research.

3 CE Credits

A peer-reviewed article written by Nicole Fortune, MBA, RDH


There have been many changes concerning dental implants over the years, including the amount of information available. There are many studies, textbooks, magazine articles, case presentations, and opinion pieces readily accessible to dental clinicians. It is easy to become confused about best practices and concerned that the implant may be harmed during preventive maintenance visits. It seems that these concerns and hesitations lead to inaction in assessment, diagnosis, and treatment. In addition, it is not often clear what has caused peri-implant disease. This course aims to identify the differences in diagnostic criteria when examining natural dentition versus dental implants, outline a comprehensive flow of diagnostics for dental implants, explain potential etiologies, and explore emerging research.

Educational objectives

  • Describe how dental implants compare to natural dentition when evaluating health and identifying disease
  • Create a workflow that the clinician is confident in following to be certain their dental implant exam is complete
  • Identify potential etiologies beyond the common etiology of residual cement on the dental implant
  • Explore new research and future findings

Nicole Fortune, MBA, RDH, is a registered dental hygienist with extensive experience in periodontics. She is a recognized expert in training dental professionals in areas of periodontics, including peri-implantitis and dental endoscopy. Nicole has delivered multiple educational presentations to numerous institutions, clubs, and professional groups across the country. She was Vermont’s Dental Hygienist of the Year for 2017. Nicole earned her hygiene degree and her BA from the University of Vermont. She also holds an MBA from Champlain College.

Image credit:  © Sujit Kantakat |
Quick Access Code: 21091

Not Enrolled

Course Includes

  • 9 Lessons
  • 1 Test
  • Course Certificate
  • 3 CE credit(s)

    Course Type: written

    This continuing education (CE) activity was developed by Endeavor Business Media with no commercial support.

    This course was written for dentists, dental hygienists, and dental assistants, from novice to skilled.

    Educational methods: This course is a self-instructional journal and web activity.

    Provider disclosure: Endeavor Business Media neither has a leadership position nor a commercial interest in any products or services discussed or shared in this educational activity. No manufacturer or third party had any input in the development of the course content.

    Requirements for successful completion: To obtain 3 CE credits for this educational activity, you must pay the required fee, review the material, complete the course evaluation, and obtain an exam score of 70% or higher.

    CE planner disclosure: Laura Winfield, Endeavor Business Media dental group CE coordinator, neither has a leadership nor commercial interest with the products or services discussed in this educational activity. Ms. Winfield can be reached at

    Educational disclaimer: Completing a single continuing education course does not provide enough information to result in the participant being an expert in the field related to the course topic. It is a combination of many educational courses and clinical experience that allows the participant to develop skills and expertise.

    Image authenticity statement: The images in this educational activity have not been altered.

    Scientific integrity statement: Information shared in this CE course is developed from clinical research and represents the most current information available from evidence-based dentistry.

    Known benefits and limitations of the data: The information presented in this educational activity is derived from the data and information contained in the reference section.

    Registration: The cost of this CE course is $59.00 for 3 CE credits.

    Cancellation and refund policy: Any participant who is not 100% satisfied with this course can request a full refund by contacting Endeavor Business Media in writing.

    Provider information:

    Dental Board of California: Provider RP5933. Course registration number CA code: 03-5933-21091. Expires September 2024. “This course meets the Dental Board of California’s requirements for 3 units of continuing education.”


    Endeavor Business Media is a nationally approved PACE program provider for FAGD/MAGD credit.
    Approval does not imply acceptance by any regulatory authority or AGD endorsement.
    11/1/2022 to 10/31/2024.
    Provider ID# 320452
    AGD code: 690


    Endeavor Business Media is designated as an approved Provider by the American Academy of Dental Hygiene, Inc. #AADHPNW (January 1, 2022–December 31, 2024). Approval does not imply acceptance by a state or provincial Board of Dentistry. Licensee should maintain this document in the event of an audit. AADH code:


    Endeavor Business Media is an ADA CERP–recognized provider.

    ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of dental continuing education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

    Concerns or complaints about a CE provider may be directed to the provider or to CERP at



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